Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.55 / $2,550.00 / $7,495.00	Facility		$657.55	$2,550.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.29 / $629.30 / $989.91	Professional		$444.29	$629.30	$989.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.28 / $444.56 / $444.56	Professional		$222.28	$444.56	$444.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,799.46 / $3,174.32 / $6,126.24	Facility		$1,799.46	$3,174.32	$6,126.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.47 / $596.83 / $957.63	Professional		$433.47	$596.83	$957.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $401.77 / $401.77 / $649.84	Facility		$401.77	$401.77	$649.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.86 / $1,494.86 / $1,543.72	Facility		$1,494.86	$1,494.86	$1,543.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.35 / $674.59 / $1,020.45	Professional		$483.35	$674.59	$1,020.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,253.20 / $16,394.00 / $16,394.00	Facility		$3,253.20	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,453.68 / $4,584.56 / $5,268.83	Professional		$3,453.68	$4,584.56	$5,268.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $451.83 / $654.48 / $1,010.14	Facility		$451.83	$654.48	$1,010.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $505.25 / $734.91 / $1,041.49	Professional		$505.25	$734.91	$1,041.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.46 / $618.79 / $797.75	Professional		$489.46	$618.79	$797.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.83 / $657.55 / $1,061.24	Facility		$451.83	$657.55	$1,061.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $492.92 / $696.68 / $1,128.29	Professional		$492.92	$696.68	$1,128.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $493.16 / $657.55 / $967.79	Professional		$493.16	$657.55	$967.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $522.87 / $589.45 / $831.13	Professional		$522.87	$589.45	$831.13